Edward A Ricketts in Hermiston - Internal Medicine

Edward A Ricketts - NPI 1215079710

Edward A Ricketts is a Internal Medicine in Hermiston, Oregon. Edward A Ricketts practices all healthcare services and medical treatments related to Internal Medicine. The NPI Number for Edward A Ricketts is 1215079710. The last update date is 2007-09-28.

Edward A Ricketts's current location address is 600 Nw 11th St, Hermiston, Oregon. You can contact this provider via phone number 5415675075. The mailing address for Edward A Ricketts is 600 Nw 11th St, Hermiston, Oregon. To know further, please read the information below!

Provider Profile Detail

Provider Name Edward A Ricketts
Address 600 Nw 11th St, Hermiston, Oregon
Phone Number 5415675075
Fax Number
Sole Proprietor Y
Credentials MD

NPI Number Detail

NPI Number 1215079710
Provider Enumeration Date 2007-02-12
Last Updated Date 2007-09-28

Provider Mailing Address Detail

Address 600 Nw 11th St
City Hermiston
State Oregon (OR)
Post Code 978388602
Phone Number 5415675075
Fax Number

Provider's Primary Taxonomy Detail

Speciality Internal Medicine
Taxonomy 207R00000X
Licence No MD18739
Definition:
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and di

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
60595 OR --

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FAQs about Edward A Ricketts

What is the unique 10-digit identifier code assigned to Edward A Ricketts by the Centers for Medicare & Medicaid Services?

The Edward A Ricketts has been issued the NPI (National Provider Identifier) 1215079710 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Could you please provide the complete physical location address of Edward A Ricketts?

The Edward A Ricketts is physically situated at 600 Nw 11Th St, in the city of Hermiston, state of OR, with the postal code 978388602.

What is Edward A Ricketts's area of expertise and its corresponding taxonomy classification?

The Edward A Ricketts's field of specialization is Internal Medicine, and it falls under the taxonomy code 207R00000X, which categorizes healthcare providers based on their areas of practice.

On what date did the Edward A Ricketts receive its 1215079710 assignment from the Centers for Medicare & Medicaid Services?

The Edward A Ricketts was assigned its 1215079710 by the Centers for Medicare & Medicaid Services on 2007-02-12.

As of what date was the information regarding Edward A Ricketts, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Edward A Ricketts, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-09-28.

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